NPIMap

Individual provider Active NPI

Auden C Velasquez, M.D.

  • Family Medicine Physician
  • Fort Stockton, TX
National Provider Identifier
1740430230
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P0806 Issued in TX
Practice address
387 W Ih 10
Fort Stockton, TX 79735-2700
Phone
(432) 336-0700
Fax
(844) 315-7400
NPI assigned
Sep 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P0806 TX Primary

Addresses

Primary practice location

387 W Ih 10
Fort Stockton, TX 79735-2700

Mailing address

511 N Main St
Fort Stockton, TX 79735-5623
Phone (432) 336-2291

Other identifiers 1

IdentifierTypeStateIssuer
306780301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000557 TX Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Internal Medicine 8123168861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecos County Memorial HospitalGroup PAC ID 0446160733, 6 clinicians

Practice addresses (Care Compare)

387 W I H
Fort Stockton, TX 79735-2700

387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058

387 W Ih
Suite 10
Fort Stockton, TX 79735-2700

511 N Main St
Fort Stockton, TX 79735-5623
Phone (432) 336-4544

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0806TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos County Memorial Hospital District Family Medicine CurrentSince Feb 4, 2024 Accepting new patients
Pecos County Memorial Hospital Family Medicine Current Accepting new patients
Pecos County Memorial Hospital CurrentSince Aug 1, 2012 Accepting new patients
Pecos County Memorial Hospital District Past Accepting new patients

Locations

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

511 N Main St
Fort Stockton, TX 79735
Phone (432) 336-2291

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1740430230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355623",
            "telephone_number": "432-336-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 W IH 10",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797352700",
            "telephone_number": "432-336-0700",
            "fax_number": "844-315-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "AUDEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306780301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

Verify at the official NPI Registry.